Active NPI
Northern Michigan Hematology and Oncology
- Specialist
- Petoskey, MI
National Provider Identifier
1114028982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
- Practice address
- 560 W Mitchell St
Suite 185
Petoskey, MI 49770-2275 - Phone
- (231) 487-3478
- Fax
- (231) 487-3578
- NPI assigned
- Sep 26, 2006
- Last updated
- Oct 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine M. Devet
- Title
- President and Ceo
- Phone
- (231) 487-4000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary | |
| Infectious Disease Physician | 207RI0200X | NU | ||
| Medical Oncology Physician | 207RX0202X | NU |
Addresses
Primary practice location
560 W Mitchell St
Suite 185
Petoskey, MI 49770-2275
Mailing address
560 W Mitchell St
Suite 185
Petoskey, MI 49770-2275
Phone (231) 487-3478
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
14695 Park Ave
Charlevoix, MI 49720
Phone (231) 547-2812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317859200000",
"number": "1114028982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "SUITE 185",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-3478",
"fax_number": "231-487-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "SUITE 185",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-3478",
"fax_number": "231-487-3578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2011-10-06",
"status": "A",
"authorized_official_last_name": "DEVET",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "231-487-4000"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
- Northern Imaging Associates P C
- Northern Michigan Allergy & Asthma Center, P.C.
- Northern Michigan Cosmetic & Reconstructive Surgery Center P C
- Northern Michigan Elder Care
- Northern Michigan Emergency Physicians, P.C
- Northern Michigan Medical Management
- Northern Michigan Musculoskeletal Medicine PLLC
- Northern Michigan Oral and Maxillofacial Surgery PC
- Northern Michigan Pain Specialists PC
- Northern Michigan Physical Medicine PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.